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04-5935 (SFD)Taf 4 4Qulxra P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY DEPARTMENT (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 777-7153 Application Number . . . . .04-00-005935_ Date 11/15/04 Property Address . . . . . . 5190-5-AVENIDA HERRERA APN: 773=172-020-8 -000000- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . COVE RESIDENTIAL Application valuation . . . . 110712 Owner Contractor ------------------------ BECERRA RODOLFO ------------------------ A & M CONSTRUCTION 51754 AVENIDA VALLEJ .0. BOX 366 LA QUINTA 92�8� QUINTA CA 92253 760) 564-4832 NOV 19 2004 STATE 2322 CC 0460009: 01/01/05 SLB: 746198 02/28/06 CITYOFLA®u TA FINANCE DEPT. CC : B - C 10 -------------------------- S ruc ure ation Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . . . . . DWELLG/LODGING/CONG <=10 Flood Zone NON -AO FLOOD ZONE Other struct info . . . . CODE EDITION 2001 CBC # BEDROOMS 3.00 FIRE SPRINKLERS NO GARAGE SQ FTG 448.00 NUMBER OF UNITS •1.00 .FIRST FLOOR SQ FTG 1782.00 ---------------------------------------------------------------------------- Permit . . .. . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 678.00 Plan Check Fee 440.70 Issue Date Valuation 110712 Expiration Date 5/15/05 Qty Unit Charge Per Extension BASE FEE 639.50 11.00 3.5000 THOU BLDG 100,001-500,000 38.50 ------------------------------------------7---------------------------------- Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 101.33 Plan Check Fee 25.33 Issue Date . . . . Valuation 0 Expiration Date 5/15/05 Qty Unit. Charge Per Extension BASE FEE 15.00 1782.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 62.37 448.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.96 P.O. BOX 1504ICE VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Oy, .S�1 Applicant: Applicant's KA ir�g fjd�iresru -PD 3 Le LQ C aL 4L Z2 Date: Architect or Engineer: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lic sed under provisions of Chapter 9 (co mencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Licens in f II force and effect. License Class ' -� License N 1 (QC l Oate01 1 ^ I Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicanf for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (, I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , B.& P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is sued. work ' compensation insurance carrier and policy number e' Carrier U I✓ Policy Number _ 9 f _ 23� _I certify that, in theU6rformance of the work for which this permit is issued, I sha not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. -Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes.. and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancel tion. I certify that I have read this application and state that the above info tion is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to er upon the above-menti0hed property for inspection purposes. Date 4 �` D Signature (Applicant or Agent): J Application Number . . . 04-00005935 Page 2 Date 11/15/04 Qty Unit Charge Per Extension 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 --------------------------------------------------7------------------------- Permit . . . . . . GRADING PERMIT Additional desc Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/15/05 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL Additional desc Permit Fee . . . . 59.00 Plan Check Fee 14.75 Issue Date Valuation . . . . 0 Expiration Date 5/15/05 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 3.00 6.5000 EA MECH VENT FAN 19.50 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 ------------------------------------------=--------------------------------- Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 123..00 Plan Check Fee 30.75 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/15/05 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 6.0000 EA PLB FIXTURE 54.00 . 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 6.00 '.7500 EA PLB GAS PIPE >=5 4.50 1.00 15.0000 EA PLB GAS METER 15.00 -------------------------------------------------------- Special Notes.and -------------------- Comments 1782S.F. SFD PERMIT DOES NOT INCLUDE BLOCK WALL, POOL/SPA OR DRIVEWAY APPROACH Page 3 Application Number 04-00005935 Date 11/15/04 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ART IN PUBLIC PLACES -RES .00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW.FEE 44.07 DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 11.07 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION— RES '1098.00 Fee summary ----------------- Charged ---------- Paid Credited ---------- Due Permit Fee Total 976.33 -------------------- .00 .00 976.33 Plan Check Total 511.53 250.00 .00 261.53 Other Fee Total 2460.14 .00 .00 2460.14 Grand Total 3948.00 250.00 .00 3698.00 Date 11/19/04 No. 26644 Owner Rodolfo Becerra Address City Zip Tract # Type Single Family Residence CERTIFICATE OF COMPLIANCE Desert Sands Unified School District 47950 Dune Palms Road La Quinta, CA 92253 (760) 771-8515 APN # Jurisdiction Permit # Study Area No. of Units BERMUDA DUNES RANCHO MIRAGE d Y INDIAN WELLS PALM DESERT .y LA OUINTA 7 QINDIO y� 0 773-172-020 La Quinta 1 Lot # No. Street S.F. Lot # No. Street Unit 1 51905 Avenida Herrera 1782 Unit 6 Unit 2 Unit 7 Unit 3 Unit 8 Unit 4 Unit 9 Unit 5 Unit 10 Comments S.F. .a At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions under 5 00 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking, eating or sanitation) or replacement mobile ho mes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason: EXEMPTION NOT APPLICABLE This certifies that school facility fees imposed pursuant to Education Code Section 17620 and Government Code 65995 Et Seq. in the amount of $2.24 X 1,782 S.F. or $3,991.68 have been paid for the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued. Fees Paid By CC/Palm Desert National Bank -Rick Morris Check No. 089717 Name on the check Telephone Funding Residential Ey Dr. Doris Wilson Superintendent Fee collected Signature McGilvrey a Payment Recd $3,991.68 So.00 Over/Under NOTICE: Pursuant to Government Code Section 6020rd)(1), this will serve to notify you that the 90 -day approval period in which you may protest the fees o r other payment identified above will begin to run from the date on which the building or installation permit for this project is issued, or from the date on which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier. NOTICE: This Document NOT VALID if Duplicated Embossed Original -Building Department/Applicant Copy -Applicant/Receipt Copy - Accounting MAY -02-2005 11:06 PM Firm: J, G f /RT_ S Street Address: 29!, h AdLy� (/YC & Copies to: Builder, HERS Provider STING P.02 CF -4111 Dat I , 7 - t M e &0/Oe�s Builder Name Plan Number Sample Group Number Sample House Number mtK5 vrovider: H10= to S City/state/zip:u Qam& ,264f 472-2-L3— CO NCE ST6JEMENT The house was: Tested 13Approved as part of sample testing, but was not tested As the HERS raterroviding diagnostic testingand field verification, I certify that the houses identified on this form com I with the diagnostic tested compliance requirements as checked on this form. Distribution system is fully ducted (Le., does not use building cavities as plenums or platform returns in lieu of ducts) Where cloth backed, rubber adhesive duct tape Is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. �V,INIMUM REQUIREMENTS FOR DUCT LF-AKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum 6% Duct Leakage) Measured Duct Pressurization Test Results (CFM Q 26 Pa) values Test Leakage Flow In CFM If fan flow Is calculated as 400cfm/ton x number of tons enter calculated value here �7 If fan flow Is measured enter measured value here �j Leakage Percentage (100 x Test Leakage/Fan Flow) _ �� z /° Check Box for Pass or Fail (Pass=6% or less) �" ❑ Pass Fail THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent �es Q No Thermostatic Expansion Valve (or Commission approved ❑ equivalent) is installed and Access is provided for inspection Yes is a pass Pass Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. ❑ Yes ❑ No RCCA Manuel D Design requirements have been met (rater has verified that actual Installation matches values In/� CF -1R and design on plan. 2. ❑ Yes ❑ No TXV Is Installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1 R. Measured Fan Flow O � Yes for both 1 and 2 is a Pass Pass Fall La��LIaM�4'c � � ,- Certificate of Occupan*cy G� OF�ti Building & Safety Department This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of issuance, this structure was in compliance with the provisions of the Building Code and the various ordinances of the City regulating building construction and/or use. BUILDING ADDRESS: 51-905 AVENIDA HERRERA , - Y - Use classification: SINGLE FAMILY DWELLING Building Permit No.: 04-5935 Occupancy Group: R3 Type of Construction: V -N Land Use Zone: RC Owner of Building: RODOLFO BECERRA Address: 51-300 AVE. RAMIREZ City, ST, ZIP: LA•QUINTA, CA 92253 By: STEVE TRAXEL l�dt Date: 05-02-2005 Building Official POST IN A CONSPICUOUS PLACE